• 한국치위생학회지
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• 제6권3호
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• pp.243-261
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• 2006

Priority setting in national health insurances in major advanced countries and the nation was investigated to draw the criteria for priority setting and suggest the most rational criteria for dental insurance so as to help secure the efficiency of medicare financing and individual's health right and also elevate medical consumers' satisfaction with health insurance. 1. Priorities in national health insurance are different from country to country, depending on the medical security systems, priority introducing conditions, and social environment, but have many common factors. 2. The priority setting criteria for national health insurance in those countries include the following in common: the efficiency, equity, and cost effect of treatment, emergency of treatment, consumption of expense, efficacy of treatment, patient's receptiveness, patient's demand, severity of disease, and patient's responsibility for the disease. 3. In oral diseases, severe diseases including oral cavity cancer are low in rate, and in-hospital treatments are few. From the above findings, it is suggested that dental insurance should establish discriminative criteria for priority setting by reflecting the aspects of dental diseases and system difference between dental and other health insurances and taking account of efficiency of treatment through prevention, cost effect, prevalence and incidence of generalized diseases, and individual's financing burden.

• International Journal of Computer Science & Network Security
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• 제22권10호
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• pp.155-164
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• 2022

The review of known decisions showed that currently there are no systems and technologies for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper models the decision-making support process on the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which is the theoretical basis for the development of rules, methods and system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper also developed the system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which automatically and free determines the possibility or impossibility of concluding the corresponding civil law agreement for the provision of a corresponding medical service. In the case of formation of a conclusion about the possibility of concluding the agreement, further conclusion and signing of the corresponding agreement takes place. In the case of forming a conclusion about the impossibility of concluding the agreement, a request is made for finalizing the relevant agreement for the provision of the relevant medical service, indicating the reasons for the impossibility of concluding the agreement - missing essential conditions in the agreement. After finalization, the agreement can be analyzed again by the developed system for supporting the decision.

• 한국정보처리학회논문지
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• 제7권10호
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• pp.3171-3181
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• 2000

정보통신과 컴퓨터기술의 발전으로 인하여 불법침입으로 인한 정보파괴, 서비스거부공격 그리고 컴퓨터 바이러스 등에 의한 역기능이 날로 증가하고 있는 추세이다. 또한, 이러한 공격들로부터 네트워크를 보호하기 위해서 침입차단시스템(일명: 방화벽), 침입탐지시스템, 접근제어시스템 등 많은 보안 제품들이 개발 및 적용되고 있다. 그러나 이러한 보안 제품들에 대한 관리를 위해서는 많은 작업과 비용이 소요된다. 따라서 이들 보안제품들에 대한 효율적인 관리와 일관된 보안정책을 적용할 수 있는 관리시스템이 필요하게 되었다. 본 논문에서는 대표적인 보안제품인 침입차단시스템에 대한 통합관리 및 보안 정책 수립을 수행하는데 웹 기반의 통합보안 관리 시스템을 설계하고 구현하였다. 구현된 시스템은 웹 클라이언트, 통합엔진, 그리고 에이전트 등 크게 3개 부분으로 구성되어 있으며, 다른 보안 제품과의 확장성과 효율성 그리고 단순하고 개념적인 보안 서비스를 통해 보안 정책에 대해서 전문적인 지식이 부족한 관리자의 경우에도 쉽게 보안 관리를 할 수 있는 기능을 제공한다.

• 한국치위생학회지
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• 제19권4호
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• pp.479-492
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• 2019

Objectives: This study aimed to develop the CAMBRA-kids application for the systematic management of dental caries among preschoolers, activate the dental caries management system, and contribute to the dental caries management of preschoolers. Methods: The collected data were analyzed using R studio 1.2.1335 for Windows (RStudio Inc., Boston, MA, USA, 2018). Algorithm evaluation, heuristic evaluation and usability evaluation were analyzed using descriptive statistics. Results: Both expert evaluations of the application's algorithms were calculated as 100%, for proficiency and efficiency. The application worked well with the designed algorithms, the risk group level of participants was categorized appropriately, and the risk management method was guided properly according to the risk group level. Of the five problems presented in the heuristic evaluation, 'the lack of security' and 'the lack of information on oral health care' received 'high severity' scores. The usability evaluation of the application produces an overall score of 3.27. In the subscales (participation, functionality, aesthetics, and information) of the Mobile App Rating Scale (MARS), the 'participation' domain received the lowest score of 2.56 and the 'functional' domain received the highest score of 3.70. Conclusions: The CAMBRA-kids application is expected to be applied and used in the field of preschoolers' oral health care management, and to contribute to the prevention of dental caries of preschoolers by activating the dental caries management system using the application.

• 치위생과학회지
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• 제23권4호
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• pp.361-368
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• 2023

Background: This study aims to investigate the perceptions of dentists and dental hygienists regarding quality dental job conditions and to identify differences in perceptions based on job type. Methods: As a result of conducting face-to-face and online surveys, data from a total of 132 people were analyzed. In order to investigate the perception of quality job conditions, the importance of a total of 13 items was investigated, and the work policies and job satisfaction of the current workplace were examined. Since the data did not follow a normal distribution, a non-parametric test, the Mann-Whitney U test, was performed. Results: Both dentists and dental hygienists perceived income and working hours to be of priority importance for quality job conditions. Dental hygienists valued holiday support and welfare, human relations, and personal development potential more than dentists (p<0.05). Looking at differences by job type, dental hygienists rated all conditions as more important than dentists except income, indicating a statistically significant difference (p<0.05). In terms of the work policies, 96.2% of the practices in the study were required to have the four types of social security contributions, but fewer had flexible working hours (19.7%), healthcare support (23.5%), and incentives (25.0%). Of the participants, 60.6% had parental leave available at their workplace, and dental hygienists had statistically significantly higher job satisfaction when parental leave was available (2.57 points) than when it was not (p<0.05). Conclusion: Quality dental jobs are an important factor in keeping workers happy and maintaining an efficient practice. Dental practice owners need to pay attention to the quality of jobs required by the dental workforce, provide flexible working hours and welfare programs such as parental leave, and create a workplace atmosphere and human resource management system that supports the use of these programs.

• 한국치위생학회지
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• 제17권5호
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• pp.705-719
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• 2017

Objectives: The purpose of this study is to look into the health insurance systems and application in Korea and Japan in order to improve elderly people's quality of life. Their quality of life can be improved by upgrading the long term care systems; and extending treatment and prevention. Methods: This study is to examine long term care systems articles through content analysis in the National Health Insurance Service. Data were collected from the printed Internet and analyzed. Results: A part-time dentist system in elderly care facilities has trouble in taking care of old people's oral health due to both lack of time and operational difficulties. It is urgent to arrange dental experts who can permanently stay in care facilities and to build systems which can be managed periodically and continually. Conclusions: As having staff training for the efficiency and using the manpower in care facilities (care workers), it is necessary to solve the unequal medical service in oral health care for the elderly in Korea.

• Imaging Science in Dentistry
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• 제35권4호
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• pp.185-190
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• 2005

Purpose: Once the decision has been made to adopt an integrated medical information system (IMIS), there are a number of issues to overcome. Users need to be aware of the impact the change will make on end users and be prepared to address issues that arise before they become problems. The purpose of this study is to investigate the benefits and unexpected problems encountered in the implementation of IMIS and to determine a useful framework for IMIS. Materials and Methods: The Yonsei University Dental Hospital is steadily constructing an IMIS. The vendor's PACS software, Piview STAR, supports transactions between workstations that are approved to integrating the healthcare enterprise (IHE) with security function. It is necessary to develop an excellent framework that is good for the patient, healthcare provider and information system vendors, in an expert, efficient, and cost-effective manner. Results : The problems encountered with IMIS implementation were high initial investments, delay of EMR enforcement, underdevelopment of digital radiographic appliances and software and insufficient educational training for users. Conclusions: The clinical environments of dental IMIS is some different from the medical situation. The best way to overcome these differences is to establish a gold standard of dental IMIS integration, which estimates the cost payback. The IHE and its technical framework are good for the patient, the health care provider and all information systems vendors.

• 한국통신학회논문지
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• 제29권7C호
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• pp.971-984
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• 2004

차세대 정보전에서는 자신의 정보 시스템에 대한 침해방지, 복구 등의 수동적인 형태의 보호뿐만 아니라 상대방의 정보 기반구조(Information Infrastructure)에 대한 공격과 같은 적극적인 형태의 보호가 요구된다. 침입이 발생함과 동시에 시스템에 대한 피해를 최소화하고 침입자 추적 등의 즉각적인 대응을 위해 정보 보호 시스템은 침입에 대한 정보를 능동적으로 분석하고 실시간으로 대응하는 기능을 제공할 필요가 있다. 본 논문에서는 거짓 세션(fake session)과 허니팟(Honeypot) 모니터링 기법을 기반으로 설계된 능동적 침입 대응 시스템을 제시한다. 본 논문에서 제시하는 능동적 침입 대응 시스템은 거짓 세션을 이용하여 DoS(Denial of Service)나 포트 스캔과 같은 공격에 대응할 수 있는 기능을 수행한다. 또한 침입 규칙 관리자(IRM : Intrusion Rule Manager)를 이용하는 허니팟과 침입자 이주를 통한 허니팟 모니터링은 모니터링 정보 수집과 침입에 대한 능동적 대처 기능을 제공함으로써 침입탐지와 침입대응에 정확도를 높인다.

• International Journal of Oral Biology
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• 제43권1호
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• pp.1-3
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• 2018

Blockchain is at the center of attention recently and it is expected to have a huge impact on healthcare industry including dentistry as well. Blockchain is a fundamental technology behind Bitcoin and itis all about decentralization, security, reliability, and transparency. These characteristics of the technology empower it to disrupt the current healthcare industry in innumerable practices such as supply chain management in pharmaceuticals to prevent the counterfeited medicine, clinical trials to guarantee transparency, healthcare information exchanges or personal health record systems to ensure data integrity and interoperability, etc. It will surely revolutionize the way the current healthcare system works; from provider-oriented to patient-centered. Hence, it is time to seriously consider how we could be a part of this blockchain revolution in dentistry.

• 치위생과학회지
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• 제18권2호
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• pp.85-96
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• 2018

본 연구는 공중구강보건학 구강보건행정 영역의 국가시험 A항목 학습목표 48개의 '치위생 직무관련성', '치위생역량관련성', '교육목표 설정의 가치판별성', '시의성'을 검토하여, 최종으로 제안한 사회치위생학 구강보건행정 영역의 국가시험 A항목 학습목표는 총 75개였다. 전체 학습목표 중 18개를 삭제하였고, 15개를 수정보완하였으며, 기존 학습목표 15개를 유지하였고, 새로운 학습목표 45개를 추가하였다. 학습목표 주제는 I. 사회보장과 의료보장, II. 구강보건진료제도, III. 구강보건행정, IV. 구강보건정책으로 구분하여 고찰하였다. 최근 건강보험 및 노인장기요양보험의 확대 등 의료보장제도는 국가정책의 변화 등을 반영한 의료보장과 사회보장제도에 대한 내용을 제공할 수 있도록 수정보완이 필요하며 더 나아가 제도의 문제점과 해결방안을 제시할 수 있는 '옹호자'로서의 사회적 역할을 수행할 수 있도록 사회보장과 의료보장 분야의 학습목표를 개선할 것을 제안하였다. 구강보건진료제도와 구강보건행정 분야의 기존 학습목표는 치과위생사로서 현장의 직무와 관련성이 높은 개념과 내용으로 수정보완이 필요함을 제시하였고, 구강보건정책 분야는 치과위생사로서 정책에 참여하고 치위생 정책의제를 발굴할 수 있는 역량을 강화하여 변화주도자, 옹호자의 역할을 수행할 수 있도록 국내 보건의료정책, 치위생 관련 정책 이슈의 변화, 정책과정, 정책참여, 정책평가 등의 내용을 중점으로 학습목표를 신설할 것을 제안하였다. 본 연구결과, 변화하는 시대적 상황에 부응하여 사회치위생학 분야의 학습목표를 개정할 필요성이 제기되었다. 또한, 교육내용을 개편함에 있어 우선순위를 두어 개선하여야 한다는 것에 의견이 모아졌다. 첫째, 사회치위생학 학습목표를 개정하고, 실제 직무와 관련성이 높은 역량을 개발해야 할것이다. 둘째, 사회치위생학 학습내용은 지식, 태도, 행동을 향상시킬 수 있는 학습목표를 적극 개발해야 할 것이다. 셋째, 개정된 학습목표와 역량을 기준으로 사회치위생학 교재와 교육자료의 개발이 필요할 것이다. 넷째, 개정된 사회치위생학 학습목표를 바탕으로 치과위생사 국가시험을 개선해야 할 것이다. 이러한 교육의 변화를 통하여 치위생(학)계는 학습내용이 지식중심에서 그치는 것이 아니라 지식을 통해 다양한 활동으로 전환될 수 있도록 치과위생사의 역량을 강화하고, 치위생학 학문의 질적 수준을 향상시켜야 할 것이다. 따라서 사회에 진출 한 후 임상과 지역사회 현장에서 치과위생사로서 사회적 역할과 책임을 다할 수 있는 내실 있는 교육을 운영해야 할 것이다.